Avera Health Plans
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Avera Benefit Solutions
Avera Benefit Solutions provides groups of 10 or more benefit eligible employees with the flexibility to choose the benefits most important to you and to put together a package that fits your company’s needs. For groups under 10 benefit eligible employees, we offer 14 plan designs to choose from to build a health plan around your business needs.
Avera Benefit Solutions (2-9 benefit eligible Employees)
Traditionally packaged plans offer varying deductibles, copays and out-of-pocket maximums. COBRA administration and Employee Assistance Plan are included with each of the plan designs.
Avera Benefit Solutions (10 or more benefit eligible Employees)
A quoting model has been designed to provide employers the flexibility to choose benefits that are affordable and essential to the group. These plans allow you to select between the following options:
- Deductibles
- Coinsurance
- Out-of-pocket Maximums
- Physician Office Visit (deductible vs. copay)
- Physician Office Visit Copay: Primary Care/Specialist
- Wellness Office Visit (deductible vs. copay)
- Chiropractic Office Visit (deductible vs. copay)
- Pharmacy Plan Variations
- Emergency Room Coverage (deductible, copay, access fee)
The following riders are also available:
- Family Planning Coverage
- Student Age Variation
- Vision
- Employee Assistance Program (EAP)
COBRA Administration is included in the price of the package.
Other Products and Services
The following products are available as an enhancement to the selected plan design:
- Dental Insurance
- Life Insurance
- Disability Insurance
- Flexible Spending Accounts
Health Savings Accounts - High Deductible Health Plans
Another product that is available is the High Deductible Health Plan with a Health Savings Account (HSA). Avera Health Plans offers the Avera HSA. The following are some highlights of this product for employers:
- Affordable yet adequate healthcare coverage for your employees
- Flexibility to structure your health plan to meet your needs
- Increased employee empowerment, responsibility and satisfaction with healthcare spending
The highlights for employees are:
- Pay for current and future healthcare expenses with tax-free dollars
- More control over healthcare dollars
- Account balance rolls over from year-to-year
- Use of HSA to invest for future medical needs
For more information, please review the pdf documents below or contact your Account Representative or Agent.
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CarePartners
Avera Health Plans takes steps to manage your group's health care costs. Our CarePartners team works with you to design cost-saving strategies that meet the unique needs of your group. Our predictive modeling reporting tools combine financial, clinical and administrative data to see into the future of your health care spending. Locally-based, licensed health care professionals offer education, support and a personalized health plan to assist in meeting your health care goals. Prevention and wellness programs include:
- Screening Partners
- Avera Employee Assistance Program (EAP)
- Health Education
- Utilization Management
- Case Management
- Care Coordination
- Disease Management and Health Coaching Programs
- Cost Management
CarePartners gives employees access to health information and knowledge of potential health risks without time off from work. In addition, the employer is increasing employee retention and satisfaction, reducing absenteeism and identifying potential high-risk cases before they occur. If you would like more information about Avera’sCarePartners Program, please contact the Marketing Department or review the PDF file below.
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